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Monday, April 16, 2012

Even fat people can go hungry

Any word
association involving obesity will quickly throw up the word ‘America’. It was
in the US where obesity was first seen in epidemic proportions and it was in
the US that fast food, Coca Cola and super-sizing originated.It is the gold standard of an
obesogenic environment with a cheap and abundant food supply and, of course,
most of its urban sprawls actively promote the car over shank’s mare. The
concern over obesity begins with the First Lady herself and embraces all
elements of US health policy. But within that obesogenic environment lies
hunger and lots of it. Even the obese can be hungry.

The story of
hunger in modern US can be traced back to 1967 when the US Senate Select
Committee on Employment, Manpower and Poverty moved its hearings from Washington
to a heartland of unemployment in Jackson, Mississippi, in April, 1967. The
testimony that they received was dominated by stories of hunger and starvation
and the stories told were so unbelievable as to persuade the young Senator
Robert Kennedy to travel to the countryside to see for himself the truth or
otherwise. The story is told in the book: “Toward an end to hunger in America”
by Peter Eisinger. The young Senator was shocked.

Robert Kennedy,
sitting beside a seriously undernourished child was reported as saying: “My God. I didn’t know this sort of thing
existed. How can a country like this allow it? Maybe they just don’t know”.
A journalist George Lapides who accompanied the Senator Journalist described
the scene thus: “And I saw Senator Kennedy,
who was dressed in a beautiful pinstripe, charcoal-gray suit, sitting on a dirt
floor with a child about 18-months old with a distended stomach. Senator
Kennedy had him sitting on his lap and tears were coming down Senator Kennedy’s
eyes.” The Senator wrote to the White House in frank language: “….. conditions of malnutrition and hunger
that can only be described as shocking”. This prompted a delegation of
medical experts to visit the region funded by the Field Foundation who reported
back on a serious problem of hunger and malnutrition in terms such as: “…..listless children who lived on nothing
but grits, bread and Kool-aid”. Shortly after, The Citizens Board of
Inquiry into Hunger and Malnutrition, issued a report “Hunger in the US”.
Ultimately it was the new powerful medium of television which brought this to
the full gaze of the US through a CBS documentary “Hunger in America. This led
the US Senate to establish a “Select Committee on Nutrition and Human Needs”
chaired by Senator George McGovern who would lose a presidential race to
Richard Nixon but who with Senator John Dole would receive the World Food Prize
for their contribution to the fight against global hunger and malnutrition.

The Senate Select Committee’s work
eventually led to a raft of food and nutrition aid programmes in the US, which
persist today, programmes such as WIC, the Women, Infants and Children Scheme
of food aid or the Summer Food Service Programme and many other intervention
programmes[1].It also led Washington to establish an
annual survey of food security, which is defined by the UN as ”When all people
at all times have access to sufficient, safe, nutritious food to maintain a
healthy and active life”. It’s most recent report[2],
issued just six months ago estimates that in 2010, some 15% of US households
were food insecure meaning that at some stage, food on the table was not a
given. For some, 5%, food on the table was a very unpredictable event. The USDA
uses income as a means of determining food insecurity but in 2010, the NGO
Feeding America took a more in-depth approach, which matched food expenditure
with food prices and income. Feeding America[3]
undertook the Map the Meal Gap project, with the generous support of the Howard
G. Buffett Foundation and The Nielsen Company, to learn more about the face of
hunger at the local community level. “The
results indicate that no county is free from food insecurity. Counties ranged
from a low of 5% of the population that experienced food insecurity in 2009 to
a high of 38%”. In California the county of Los Angeles had 1.7 million
hungry homes (17.4%) while between them,5 boroughs of New York had 1.3 million hungry houses (16.2%). Thus in 2
of the most iconic of US cities, one in six families suffers from the
uncertainty of the next meal.

Without
question, obesity remains a massive public health programme with considerable
social and economic costs. But so too is hunger and it never hits the headlines
because it is a blight, a national shame. Lest any reader outside the US cast
their eyes to heaven at yet another injustice in the US, ask yourself if in
your country there is an active programme to actually document hunger and to
fight it. At least the US does, thanks in no small way to Robert F Kennedy.

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"Ever seen a fat fox ~ Human obesity explored"

About Me

I graduated from University College Dublin in 1971 with an Masters in Agricultural Chemistry, took a PhD at Sydney University in 1976 and joined the University of Southampton Medical School as a lecturer in human nutrition in 1977. In 1984 I returned to Ireland to take up a post at the Department of Clinical Medicine Trinity College Dublin and was appointed as professor of human nutrition. In 2006 I left Trinity and moved to University College Dublin as Director of the UCD Institute of Food and Health. I am a former President of the Nutrition Society and I've served on several EU and UN committees on nutrition and Health. I have published over 350+ peer reviewed scientific papers in Public Health Nutrition and Molecular Nutrition and am principal investigator on several national and EU projects (www.ucd.ie/jingo; www.food4me.org). My popular books are "Something to chew on ~ challenging controversies in human nutrition" and "Ever seen a fat fox: human obesity explored"